North Carolina Student Ceramics Exhibit 1:  High School

2012 Entry Form

Name of student_____________________________    Grade______


Title of ceramic piece______________________________________


Approximate size of piece___________________________________


Name of teacher__________________________________________

School name_____________________________________________

School address____________________________________________

_____________________________________________

School phone number_______________________________________

School email address________________________________________

Art teacher phone number___________________________________

Art teacher email address____________________________________ 

Local newspaper___________________________________________

Local newspaper email address________________________________

 

Parent/Guardian:  I give my permission to have my child’s ceramic work entered in the NCPC Student Exhibit.  I understand that, if selected, the work will be on exhibit at the NCPC, Seagrove, NC, from May 11, 2012 until July 28, 2012.  If selected, I give my permission to have images of this work, the reception, and of my child used for publicity. 


Parent name/signature_______________________________________                                        

Parent email________________________________________________
If entry is sent electronically, it implies parent consent.

Submit entry form and images to: awb8688@aol.com or mail to: A. Busick, Student Ceramic Entry,  6515 Whitted Rd, Fuquay-Varina, NC 27526

Entries must be received by 5pm, March 2, 2012.